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General NPI Number Information
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NPI Number | 1093660789
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Entity Type | Organization
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Legal Business Name | GRACE FROM GRIEF, LLC
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Dates
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Enumeration Date | 02/27/2026
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Last Update Date | 02/27/2026
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Provider Practice Location Address
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Address Line | 9402 W LAKE MEAD BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89134-8312
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Country | US
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Telephone | 702-339-4100
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Fax | 702-826-2602
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Provider Business Mailing Address
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Address Line | 9402 W LAKE MEAD BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89134-8312
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Country | US
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Telephone | 702-339-4100
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Fax | 702-826-2602
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Authorized Official
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Title or Position | COUNSELOR
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Name | DR. CORINNE MARY CHEREK
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Credential | PH.D.
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Telephone | 702-339-4100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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